SUNY HEALTH SCIENCE CENTER AT BROOKLYN (NPI# 1689972150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689972150 |
| Entity Type | Organization |
| Organization Name | SUNY HEALTH SCIENCE CENTER AT BROOKLYN |
| Other Organization Name | SUNY DMC@LICH-OB/GYN |
| Practice Address |
97 Amity St Brooklyn NY 11201-6004 |
| Practice Telephone | 7187801000 |
| Mailing Telephone | 7187801000 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MARILYN VIENTOS - SOTIRIADIS (COO) |
| Authorized Official Telephone | 7182702025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SUNY DMC@LICH-OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104124379 | Suny Health Science Center At Brooklyn | Urology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1922306190 | Suny Health Science Center At Brooklyn | Radiology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1386942555 | Suny Health Science Center At Brooklyn | Emergency Medicine | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1831497007 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1023316296 | Suny Health Science Center At Brooklyn | Neurological Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1295033462 | Suny Health Science Center At Brooklyn | Surgery | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851640 | Suny Health Science Center At Brooklyn | Psychiatry & Neurology | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-11 |
| 1477851707 | Suny Health Science Center At Brooklyn | Otolaryngology | 134 Atlantic Ave, Brooklyn, NY 11201-5502 | 2011-03-10 |
| 1720386063 | Suny Health Science Center At Brooklyn | Rehabilitation Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-10 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUNY HEALTH SCIENCE CENTER AT BROOKLYN | 450 Clarkson Ave, Brooklyn, NY 11203-2056 |
| Street Address |
97 AMITY ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690196 | Joseph Thomas Chambers | Obstetrics & Gynecology | 97 Amity St, 3rd Floor, Brooklyn, NY 11201-6004 | 2005-06-22 |
| 1447502703 | Alan Lyle Hunt | Social Worker | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-10-11 |
| 1437400504 | Christina Olmo | Counselor | 97 Amity St, 6th Floor, Brooklyn, NY 11201-6004 | 2012-09-28 |
| 1154692721 | Regine Marie Lim | Genetic Counselor, MS | 97 Amity St, 3rd Floor, Room H366, Brooklyn, NY 11201-6004 | 2012-01-13 |
| 1215235783 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Orthopaedic Surgery | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1306144878 | Suny Health Science Center At Bklyn University Hospital of Brooklyn | Psychologist | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1619275625 | Suny Health Science Center At Brooklyn | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-01 |
| 1013237551 | Meseret Meshesha Tena | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2010-06-07 |
| 1336394436 | Anita Holman | Obstetrics & Gynecology | 97 Amity St, Department of Ob/gyn, Brooklyn, NY 11201-6004 | 2008-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1528523560 | Diane Marie Ashton | Obstetrics & Gynecology | 128 Saint Marks Ave, Brooklyn, NY 11217-2412 | 2019-02-04 |
| 1457816571 | Maureen Saint-jean | Obstetrics & Gynecology | 5308 Avenue K, Brooklyn, NY 11234-3338 | 2019-02-02 |
| 1639532724 | Huda Afaneh | Obstetrics & Gynecology | 7575 Northcliff Ave Ste 302, Brooklyn, OH 44144-3265 | 2016-04-05 |
| 1831551928 | Vuy Li Physician P.C. | Obstetrics & Gynecology | 6824 Fort Hamilton Pkwy, Brooklyn, NY 11219-5855 | 2016-03-28 |
| 1861887564 | Shweta Shah | Obstetrics & Gynecology | Medwell Women's Services 2183 Ocean Avenue, Brooklyn, NY 11229 | 2015-03-31 |
| 1174928378 | American Comprehensive Healthcare Medical Group | Obstetrics & Gynecology | 5205-7 Church Avenue, Brooklyn, NY 11203-3513 | 2014-10-30 |
| 1467880369 | Julia Jaffe | Obstetrics & Gynecology | 86 S Oxford St Apt 1, Brooklyn, NY 11217-1614 | 2013-10-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.